IndividualActive
Yazdan Eighaeisedeh
NPI 1164272191 · General Practice Dentistry · Everett, MA
Yazdan Eighaeisedeh is a General Practice Dentistry provider in Everett, MA (NPI 1164272191).
Provider details
- NPI number
- 1164272191
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- DN10000945 (MA)
Practice location
1795 Revere Beach Pkwy
Everett, MA 02149-5912
Phone: (617) 294-2600
Street-level locationGet directions
Mailing address
635 Albany St
Boston, MA 02118-3550
Registry dates
- Enumerated
- 2024-03-25
- Last updated
- 2025-07-07
- Certified
- 2025-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.